CAJ | 학술논문

目的探讨经口咽通气管吸痰在开胸手术后患者排痰困难中的应用效果.方法随机将96例开胸手术后排痰困难患者分成观察组和对照组各48例,观察组采用口咽通气管吸痰,对照组采用常规经口鼻腔吸痰,比较两组吸痰前后心率、血压、氧分压、血氧饱和度以及两组的吸痰效果、吸痰时间、一次插管成功、肺部相关并发症等情况.结果两组患者吸痰后血氧饱和度、氧分压、吸痰操作时间、吸痰效果、一次插管成功、患者接受度、相关并发症的比较,差异有统计学意义(t分别为11.16,11.15,15.20,8.18,6.10,6.56,16.70,4.89;x2分别为5.76,4.44;P＜0.05);心率、血压差异无统计学意义(P＞0.05).结论经口咽通气管吸痰的方法对畅通呼吸道、改善呼吸、缓解缺氧都具有明显满意的临床效果.
목적 탐토경구인통기관흡담재개흉수술후환자배담곤난중적응용효과.방법 수궤장96례개흉수술후배담곤난환자분성관찰조화대조조각48례,관찰조채용구인통기관흡담,대조조채용상규경구비강흡담,비교량조흡담전후심솔、혈압、양분압、혈양포화도이급량조적흡담효과、흡담시간、일차삽관성공、폐부상관병발증등정황.결과 량조환자흡담후혈양포화도、양분압、흡담조작시간、흡담효과、일차삽관성공、환자접수도、상관병발증적비교,차이유통계학의의(t분별위11.16,11.15,15.20,8.18,6.10,6.56,16.70,4.89;x2분별위5.76,4.44;P＜0.05);심솔、혈압차이무통계학의의(P＞0.05).결론 경구인통기관흡담적방법대창통호흡도、개선호흡、완해결양도구유명현만의적림상효과.
Objective To evaluate the effectiveness of oropharynx airway in post-thoracotomy patients with sputum drainage difficulties. Methods 96 post-thoracotomy patients with sputum drainage difficulties were divided randomly into control group and test group: expectoration through oropharynx airway group and expectoration through nasal cavity group. Heart rate, blood pressure, PO2, SpO2, sputum suction time,successful intubation rate, effect of sputum suction and pulmonary associated complications before and after sputum aspiration between two groups were analyzed. Results There are significant differences in SpO2,PO2 , sputum suction time, successful intubation rate, effect of sputum suction and pulmonary associated complications before and after sputum aspiration between two groups ( t = 11. 16,11. 15, 15.20,8.18,6. 10,6.56,16.70,4.89 ;x2 = 5.76,4.44; P ＜ 0. 05 ), while there are no significant differences in HR and BP (P ＞0. 05 ). Conclusions Sputum suction through oropharynx airway is benefit to keep airway clean,improve respiration and relieve hypoxia.